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HomeMy WebLinkAboutMiscellaneous - 165 SANDRA LANE 4/30/2018 165 SANDRA LANE�� 210/097.0067 0000.0 , 4; ,r Offke Use Otd)I ' u4E Crummnnwalth of gssnr�usl tis Permit No. lipmt stat of Public *afttg coat d Fera wtIcy Gt�d BOARD OF FIRE PREVENTION REGULATIONS 521 CMR 12:00 3190 Paw ttarlik) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK ! ' i All work to be performed in accordance with the Massacnusetts Electrical Code, 527 CHAR 1200 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) pate/U—Z u 7 %* or Town of NORTH ANDOVER To the Inspector of Wires: The uderaigned applies for a permit to perform the electrical work described below. 1 ) S S.�/�%J e� X14 Location Street 3 Number /6 /v ` Owner or Tenant Owner's Address IS this permit.in conjunction with a building ` permit Yes No [ (Check Appropriate Box) I Purpose of Building ��s/ eel) 7`/c, Utility Authorization No. Existing Service Amps _J Volts Overhead :J Undgrnd a No. of Meters ................. .__.� •M� New Service Amps / Volts Overneao Unagrna C No. of Maters Number of Feeders and Ampacity Location and Nature of Proposed Electrical WOfK 5- ci✓,_ /l Ya,., No. of Lighting Outlets I No. of yot '_=s I No. of Transformers Total KVA No. of Lighting Fixtures i Swimming Poo, Aceve'-- In- r- ryjl' I grrta. _ 5rno. I Generators KVA t No. of Emergency Lighting No. of Receotacte Outlets I No. of Oil Eurners I Battery Units �. ' No. of Switch Outlets I No. or Gas _urr.ers FIRE ALARMS No. of zones No. of Ranges I No. cf Air C-r.c. ota' No. of Oetection and 'Cns Initiating Devices No: of Oisciosats I No.of Heat To!ai -oiai Purnzs :ons K%V No. of Sounding Devices No. of Soil Contained No. of Dishwashers I SoaceiArea Healma KW OetectiorvSounaing Devices No. of Dryers I Heating Cev,ces KWLocai — Municfoaf ^Other M Connection No. of 140 if Low Voltage No. of Water Heaters KW I Signs ?a lass Wiring No. Hydro Massage Tubs I No. of Motcrs Total HP rl.. OTHER: f ; INSURANCE COVERAGE: Pursuant to the reaiuremenis of MassaCnLsers ;eneral Laws I have a current Liaoility Insurance Policy incluaing Comc:eiec Ccerauons Coverage or its substantial equivalent. YES ANO = I have suomirtoo valid proof of same to the Office. YESVO = If you nave checxea YES. please indicate the type of Coverage oy�' ! checking the ato Dox. i� INSURANCE �_✓8ON0 = OTHER = (Please S:ec:"i) ��-(' , phi Estimated Value of E!ectncal work S (Exfwation Oatel. Work to StartInsoecnon Date Racues:ec: Rougn Final Signed under Me Penalties of perjury: FIRM NAME�y/// "»' /5Zol f UC. NO Licensee o ­ t Sicr.a:;:re U . �C. NO Sus. Tel. No.aIL , Adanas°2? /O X 19 nJ� S'7` , L. G✓2Fry /L1/¢ Alt. Tel. No.-tea OWNER'S INSURANCE WAIVER: I am aware Inat the Licensee toes not nave the insurance coverage or its suostarilfsl equivalent as rw, f Owreo by Massacnusetts General laws. and that my signature an 7.s application waives this requirement. Owner Adent (Please check onel� +nnone No. PERMIT FEE S X ✓y� (Signature of towner or Agent r•d�fi '' Date k-..:7�....." 1�.... 1239 NORTI{ TOWN OF NORTH ANDOVER .� '3? et.P _•...a OL PERMIT FOR WIRING • N. s'. 1SgACMUSES I, ^ This certifies that . ...' .. r.!. ....:--� has permission to perform , 5 - ?::E .................................................. wiring in the buil 'ng of..'' '......... .a...................... ...�.................... at.. ... . .... ..re..... .. ........................ .North Andover,Mass. Fde?:� .....::r...... Lic.No.f..l1 ..(-............................................................... ELECTRICAL INSPECTOR 10/20/97 12:29 35.00 PAID WHITE:Applicant CANARY:Building Dept. PINK:Treasurer MASSACHUSETTS UNIFORM APPLICATION-FOR PERMIT TO DO PLUMBING (Print or Type) ta A) �t/C� , Mass. Date 191,r2-- Permit # ` Building Location 1(:5 &AAjaZA )—n-Al— Owner's Name C�i ���(t 66- Type of Occupancy New Y� Renovation ❑ Replacement ❑ Plans Submitted: Yes ❑ No ❑ FIXTURES Z z z YQ Z F- > f4 ^„G W W Lu� Z m Q W ¢ 2 f" ? O Z Z a H 1-4 a U) W (0 x > Q w 0 CO Q CL W Q a Q 3 x Com., u- U z ¢ m ¢ cn W } ~ U) z o Q m O ¢ a ¢ O LL a R; M W Q W Q ¢ Q W J z p -j a {z7 W W W x �" O _ J u1 Q Q Y W W Y W W cn ra H V > ►x- O x a M < 0 z O O m z z w �" O U x i'�i W a 0 Y J m N D O J x F- 0 L_ 0 M O Q ¢ m O U W P , SUB-BSMT. BASEMENT j 1ST FLOOR 1 S 2ND FLOOR ` f 3RD FLOOR 4TH FLOOR 5TH FLOOR 6TH FLOOR 7TH FLOOR STH FLOOR Check one: Certificate Installing Company Name �fL�� � IcZ-�1S ❑ Corporation Address _/Q-5 �iJc��✓�.,✓ S; ❑ Partnership ? /J-4 ❑ Firm/Co. " Business Te!ephone eYY Name of Licensed Plumber PRINT . INSURANCE COVERAGE I have a current liability policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes 2'-- No ❑ If you have checked yes, please indicate the type coverage by checking the appropriate box. A liability insurance policy ❑ Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Mass.General Laws,and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner ❑ Agent ❑ 1 hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations perform er the permit issued for this application will be in compliance with all pertinent provisions of the Massachusetts State lu I de and Chapter 142 of the General Laws. W Signature of Licensed Plumber Type of License:Master Z--- Journeyman ❑ License Number BELOW FOR OFFICE USE ONLY FINAL INSPECTIONS SKETCHES FEE PROGRESS INSPECTIONS NO. APPLICATION FOR PERMIT TO DO PLUMBING UNDERGROUND ROUGH _ COMPLETE ROUGH 'n �n FINAL INSPECTION PERMIT GRANTED DATE 19 Q� PLUMBING INSPECTOR Date. �/�'1;> . 1,T. 3435 0',".��T:��a TOWN OF NORTH ANDOVER y PERMIT FOR PLUMBING a � ,SSACMUS� This certifies that . . . . . . . . . . . . . . . . 019-permission to perform . . .kC. G . . . . . . . . . . . . . . . . plumbing in the buildings of . . 6 2-/.,0fAjJ./.-1 u. . . . . . . . . . . . . . . . at. . S;o l?iA. . i. . . . . . . . Orth Andover, Mass. Fee�./ 6,- .Lic. No.. 7>. . .. . . . . . . PM BINGG INS `. 08/08/97 12:06 215.00 PAID WHITE:Applicant CANARY: Building Dept. PINK:Treasurer Location 34 IU P A 14 No. Date d' a t NpRTh 1 TOWN OF NORTH ANDOVER p Certificate of Occupancy $ ` Building/Frame Permit Fee $ .. �,SSACMUSE�� Foundation Permit Fee $ In Other Permit Fee $ ' Sewer Connection Fee $ Water Connection Fee $ �L TOTAL $ 4: Building Inspector r TO 10033 Div. Public Works PERMIT NO. APPLICATION FOR PERMI1, TO, BUILD— NORTH ANDOVER, MASS. ✓ PAGE : MAP 4-40. /J�'1 LOT; NO. T -- —.__—__rte � r 7 L �Er 2 RECORD OF OWNERSHIP DATE BOOK iPAGE ZONE SUB DIV. LOT NO. y . r� I I 1 _ - —. Os O LOCATIO F OWNER'S NAME _ � o1Nc NO. Of STORVEB —A _ SIZE ZOO s/ --1 OWNER'S ADDRESS I BASEMENT OR SLAB - G S Ij3 ARCHITECT'S NAME a SIZE [fF FLOOR TIMBERS IST z e 2ND ^7- /O si 9! AlX 3RD a2� 1 y ( ��BUILDER'S NAME /�v ,ONES ��j'G SPAN O �, ` 13 BUILDER'S TO NEAREST EUILDING DIMENSIONS OF BILLS 1 rye-'' -- ���- DISTANCE FROM STREET.- IS POSTS ! ' r�- DISTANCE FROM LOT LINES---SIDES 70 GIRDERS L/ O 1 AREA OF LOT � I_ Ifs--RONTAGE HEIGHT OF FOUNDATION i THICKNESS O �� IS BUILDI111G NEW 7 �✓ — SIZE OF FOOTING l 2 D x IB BUILDING ADDITION MATERIAL OF CHIMNEY MIC,T�-L IS BUILDING ALTERATION 13 BUILDING ON SOLID OR FILLED LAND WILL BUILDING COHFORM'TO iREQUIREMENTS OF CODE C/�^� IS BUILDING CONNECTED TO TOWN WATER BOARD Of APPEALS ACTION. IF ANY 7 J I$ BUILDING CONNECTED TO TOWN SEWER y�'s IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION BEE BOTH SIDES LAND COST /Q' as l .. .. I [ST. BLDG. COSTN .O OD .. PAGE 1 FILL OUT RECTION :1°;- ] _EST. BLDQ. COST PER eq. FT. PAGE 2 FILL OUT SECTIONS 1 12 EST. BLDG. COST PER ROOM SEPTIC t[RMIT NO. N J Jul ELECTRIC METEPS MUST QIE:ON OUTSIDE OF BUILDING S APPROVED BY t ` a ATTACHED GARAGES Ml:4T'Cd'HFORM TO STATE FIRE REGULATIONS •~,' r PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR q - GATE FI .ED�_•- �UILDINa 1NttiCTO/ SI NAT RE OWNER OR AUTHORIZED wG£NT F E E OWNER TEL I G/ 5:7 _2 2 2S � kr' s PERMIT GRANTED CONTR.TEL/ { DUE RME tT CONTR.LIC:r f H.I.C.I f_ £ �� 4 � ' � Y r � T 1 I /R � I L Y '-,�xv� r w,+b CdA f -T '�► BUILDING RECORD 1 OCCUPANCY 12 H PORCHES, GA SINGLE FAMILY StoulES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM .. MULTI. FAMILY OFFICES LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH APARTMENTSRAGES, ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION ' 2 FOUNDATION _ 8 ItIT.ERIOR FINISH CONCRETE 1 a- fI Z l_ CONCRETE BL K. PINE BRICK OR STONE HARDW D PIERS PLASTEAT Q _ _ .DRY Whit UNFIN., 3 BASEMENT AREA FULL FIN. B A'J''AREA Q 1/1 1/1 y. FIN, A 'iC•AREA NO B M'T FIRE _P:a.:ES _ HEAD ROOM MODEQM.'KITCHEN L 4 WAILS I 9 FLOORS CLAPBOARDS h. B 1' - Z J . DROP SIDING CONCRETE _ — WOOD SHINGLES EARTH • .. ASPHALT SIDING HARD'/D ASBESTOS SIDING COMIACN SIDING ASPH. 11LE_ STUCCO ON MASONRY STUCCO ON FRAME ATTIC STRS. L FLOOR BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME SUPERIOR POOR _ ADEQUATE I' NO 5 ROOF 10 PLUMBING GABLE HIP BAIH 13 FIX.) _ Z GAMB4EL MANSARO TOILET RM: jZ FIX.1 FIAT SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING TAR 3 GRAVEL STALL SHOWER _ ROIL ROOFING MODERN FIXTURES TILE FLOOR`<' TILE DAIDO g FRAMING 11 HEATING WOOD JOIST P IPE FURNACE 'HOTrAIR FURN. TIMBER BMS. 6 COLS. STEAM STEEL BMS. 6 COLS. T'R OR VAPOR WOOD RAFTERS NDITIONING T H'T'G EATERS " - 7 NO. Of ROOMS B'M'T Znd _ C1 � J d D TING' _. V_ *'4 4t. W i A ' . 1001768 S .F. Ln . r t5 , ► ,,�' t :-: PROPOSED 1. Q LIN . FT . ,, rr'v TN�'ZI�TRAT0R TRENCH � r i 3 r- �t ' CATCH BASIN s �-- PROPOSED �B Q�+ IM, - :2.97 . 5 INV — 2 o )�i11(�" . yob { r: is `►�: PROPOSED DWELLING SILL ELEV — 306 . 0, ► BASEMENT FLOOR E!,E� GARAGE FLOOR ELEV ., �GV 1� � � y.�"� l� _..✓'.fin Cl , • � ,: ,�� , PROPOSED `BITU141 A NOU X4519 4' .: 1„ 40, 0, S) pV 1 . FDDT' 0 3:0.48 Am.•y+-t1 l,..l J Art..nh7v� . ..Y..y.�a ....� . _.Y: f v r,).Y Y.... J.. �. .1':1 r ._ . tl f. /.,r/.♦.. }u,. ^ +. .. ..(r` ....X -.- _., .� FORM U - VERIFICATION FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable local or state law, regulations or requirements. ****************Applicant fills out this section***************** APPLICANT: Phone LOCATION: Assessor' s Map Number R -7 Parcel � Subdivision Ycm Lot(s) 2 9 E2 — Street J rte. St. Number ************************Official Use Only************************ RECOMMENDATIONS OF , GENTS: Date Approved Conservation Administrator Date Rejected Comments KX_1� Date Approved Q Town Planner" Date Rejected Comments Date Approved Food Inspector-Health Date Rejected Date Approved ti I pector-Health Date Rejected Comments Public Works - sewer/water connections —,:_TL ) - driveway permit � Fire Department Received by Building Inspector Date NORTH , . 0VM Of . dover. , PY o ` rt dover, Mass., _ 9 ��. 1. COC HICHE W ICN AERATED P, C.) c' BOARD OF HEALTH Food/Kitchen PERMIT T Septic System THIS CERTIFIES THAT............................... .�.}. BUILDING INSPECTOR ..�.�...�:/.1.�...............��./�:Ie.�.�..�..I./d.................................... Foundation has permission to erect.........C-0.0.0.1b......... building] on ......... ................. ......f�-�.�1�.l�.. Rough / to be occupied as.......................................................2/^(.6.�.re............ i � .�...!. :............................................... Chimney provided that the person accepting this permit shall in every respect conform to the to -s of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PERMIT FOR FOUNDATION ON PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. REGULATED BY PARA. 114.8-S. B '... Rough PERMIT EXPIRES IN 6 MONTU� Final FEE PAID —� UNLESS CONSTRUCTION STAI ELECTRICAL INSPECTOR Rough ....................................... ...... ..... ... Service B LDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. Growth Management Bylaw Exemption Statement Town of North Andover Building Department This form shall be used to assist the Building Department in their determination of exemptions under section 8.7.6 of the Town of North Andover Growth ManagementBylaw. The building applicant shall provide all of the necessary information as requested below. T Nerve of Applicant on Building Permit(below) Address of Property for Permit(below) ,Gov"r, Map and Parcel : V`/-61/'purpose of l�pplication (check below) Phone Number of Applicant: _Single Family _Two Family _6 1,�7 g ya-a0 I the undersigned applicant for the above property attest that the attached building permit for which this form is completed does comply with the EXEMPTION section 8.7.6 of the North Andover Growth Management Bylaw. I also understand providing this form does not absolve me or any party to this permit from the requirements of obtaining other permits required prior to the issuance of the Building Permit. Further I understand that my interpretation of the EXEMPTION status is subject to review by the Building Department and is only officially accepted when the Building Permit is issued. Based on section 8.7.6 of the North Andover Growth Bylaw the above lot and the work as applied for on the above lot, in the building permit application and associated attachments, complies with one or more of the following sections as indicated by a check mark. This is an application for a building permit for the enlargement,restoration, or reconstruction of a dwelling in existence as of the effective date of this by-law,provided that no additional residential unit is created. The lot(s)were/was created prior to May 6, 1996 are exempt from the provisions of this Section 8.7 of the Zoning Bylaw. - This application is for dwelling units for low and/or moderate income families or individuals,where all of the conditions of 8.7.6.c are met and/or represents Dwelling units for senior residents,where occupancy of the units is restricted to senior persons through a properly executed and recorded deed restriction running with the land. For purposes of this Section"senior"shall mean persons over the age of 55. This application is a part of a development project which voluntarily agreed to a minimum 40%permanent reduction in density,(buildable lots),below the density,(buildable lots),permitted under zoning and feasible given the y environmental conditions of the tract,with the surplus land equal to at least ten buildable acres and permanently designated as open space and/or farmland.The land to be preserved shall be protected from development by an , Agricultural Preservation Restriction,Conservation Restriction,dedication to the Town,or other similar mechanism approved by the Planning Board that will ensure its protection. This application represents a tract of land existing and not held by a Developer in common ownership with an adjacent parcel on the effective date of this Section 8.7 shall receive a one-time exemption from the Planned Growth Rate and Development Scheduling provisions for the purpose of constructing one single family dwelling unit on the parcel. This application represents a lot which is ready for building permits,(i.e.all other permits from all other boards and commissions have been received and the project is.in compliance with those permits),and the Developmen<Schedule,. does not accommodate issuing a building permit in that Year,one building permit w!;.!i.-4 issued per Year per Development�jndi sr.ch time Dekelooment Schedule accommodates issuing building permits. Applicant must supply approved form U with this EXEW,TION. Please provide any and all information that would assist the Building Department in making a determination that your application is allowed one or more of the above EXEMPTIONS. By signing below I attest to the accuracy of the information provided and that the attached building permit is allowed an EXEMPTION as cited above. Further I understand that the submittal of misleading and or inaccurate information, or the checking off of an above item which does not comply,whether done to my knowledge or not, is grounds for refusal by the Building Department to issue a Building Permit. eat Sig ature of Own&or Authorised Agent who signed the Attached Building Permit Date This form mus be attached to the Building Permit upon application for such permit. N PiAMi1— 3zr 0"E '2 135' z Q J 4. O U W O LIj 28B O N o 0,819 Ac, 0 O O) 4� O c O N y Z 44.2±' /EXISTI,NG FOUNDATION 21.7± w 125.00 + S90'00'00"W SANDRA LANE k",A tf�QF AS—BUILT ZE E. FRANKLIN FOUNDATION PLAN y No. 37045 oQ LOT 28B SANDRA LANE p"`FJ, �FCISTER�c paw NORTH ANDOVER, MA. SCALE: 1 "=50' JULY 10,1997 THIS PLAN IS THE RESULT OF A SURVEY PREPARED FOR PERFORMED ON 12/5/95 & 7/8/97 BASED ON INFORMATION SHOWN ON HENRY J. BENDIKIAN,TRUSTEE PLANS OF RECORD. NEW ENGLAND ENGINEERING SERVICES, INC. 33 Walker Road—Suite 22—North Andover,MA. 01845 Tel.(508)686-1768 I i a CERTIFICATE OF USE & OCCUPANCY Town of North Andover Building Permit Number 321 Date August 6, 1998 THIS CERTIFIES THAT THE BUILDING LOCATED ON 165 Sandra Lane MAY BE OCCUPIED AS inn!$ Family, Dwelling IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. ��tio CERTIFICATE ISSUED TO Gerald Giardiello • F: � �p 165 Sandra Lane No. Andover MA 01845 ADDRESS ' u• • ' 3ACHBuilding Inspector i i I NORTH F Town of 3 over f o No. 3 2 o rt " dover, 1lilass., _ 19 ! % ADRA TEID PV 4AlJ S BOARD OF HEALTH Food/KitchenL^/e/+Z PERMIT T D Septic System I I BUILDING INSPECTOR THIS CERTIFIES THAT...............................b. --F& . /. ............... ./.. . .��.�..�..I/.d.................................... Foundation has permission to erect.........C .�`a. �.D......... building] on ......... .cra.. ........... �}l �fA.......h4. 40.l .... ou zi /I I Ki� to be occupied as......................................................�/Ist.6.f.6............ ii'uv. ..... ............................................... Chimney �J provided that the person accepting this permit shall in every respect conform to the t sof the application on file in _ this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough �� c PERMIT EXPIRES IN 6 MONTHS na ? ! ' EL RICAL I SPECTO UNLESS CONSTRUCTION ST S Du �//7- I ................ . Service ...................................... i' B LDING INSPECTOR _ Occupancy Permit Required to Occupy Building GAS INSPECTOR I Rough I Display in a Conspicuous Place on the Premises — Do Not Remove Final �I i� No Lathing or Dry Wall To Be Done Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT Burner • Street No. Smoke Dec. u